Adoption Application
Please fill out application as complete as possible. All incomplete Applications will not be evaluated.

DO NOT fill out this application if you are not seriously interested in adopting a dog. You MUST be 18 years or older to adopt a dog. Thank you for your consideration.

*Denotes a required field
Full Name *
Email *
Home Phone *
Alternate Phone
Street Address *
City *
State *
Zip Code *
What are your major cross streets? *
What age of dog are you looking to adopt?
What color do you prefer?

What Gender are you looking for

Would you consider an Australian Cattle Dog mix or other Herding type dog

Is anyone in your household allergic to dogs?
How many Adults live in your home? *
How many children live in your home? *
What are their ages?
Has everyone agreed to add a dog to the family?
If you answered No above, then please explain why?
Do you currently have pets?
If you answered yes above, please list (1) Name, (2) sex, (3) Age and (4) Breed of every pet in your household.
Are your pets all current on their vaccinations?
Are your pets altered? (Spay or neutered)
If your pets are not altered or not up- to- date on vaccines, please explain why:
Do you have a Dog Door?
If you don't have a dog door, would you consider installing one?
If you answered No above, then please explain why?
Do you have a pool?
If you have a pool is it fenced?
Do you own your home?
If you do not own your home, can you provide us with a letter from your landlord saying dogs are allowed at the residence?
What type of residence do you live in?
What type of fencing, how tall and is it fully contained? *
Would you consider adopting a special needs dog?
What type of Special needs are you willing to consider for adoption (please check all that apply)?











How long will your new dog be left alone during a typical day?
Where will your new dog be kept while you are away?
Where will your new dog sleep?
Are you familiar with Crate Training?

Are you willing to have a New Hope Cattle Dog representative/volunteer visit your home before adoption? *
If you answered No to having someone visit your home, then please explain why not:
Are you willing to take your new dog to Obedience Classes?
If opposed to taking your new dog to Obedience Class, Please explain:
Why do you want a Cattle Dog?
Have you ever owned a Cattle Dog or Cattle Dog mix?
If you have owned a Cattle Dog or a Cattle Dog mix, where are they now?
If you have never owned a Cattle Dog or even if you have , please relate your experiences with the breed: *
What Research have you done on this breed (please check all that apply)?







Please describe what a typical day in the life of your new dog
Who is you current Veterinarian (please include Vet Name,Clinic Name, Address and Phone Number *
Can we contact your Veterinarian for a Reference?
What type of Cattle Dog areyou looking for (Please check all that apply)?









What kind of activities do you and your family participate in regularly that the new dog would be involved in (please check all that apply)













How would you rate your family"s overall activity level?




How do yu plan on transporting your dog in your vehicle (please check all that apply)?





What do plan to do with your dog in the event of a Divorce or separation with your significant other
What would you do with your pets if you had a family member or significant other that become allergic to pets?
What would you do with your pets if you, your spouse or significant other had a job Transfer to a different state?
What would you do if unemployment or a financial difficulty arose that forces you to move into a smaller home or apartment?
What would you do if the new dog is destructive in your home or yard?
What would you do if your neighbors complained that your dog barks excessively in the backyard or house?
What would you do if your dog needed emergency surgery or care over $1000.00
What would you do if your dog needed Hospice Home or Long term care (i.e. help going to the bathroom,help eating,IV fluids,injections,etc.)? *
What would you do if your dog bites someone?
What would you do if your new dog bites you?
What would you do if your new dog fights with other pets in your home or new pets brought into your home?
Have you ever had to relinquish a pet (i.e. take to the pound, give to family /friends)?
If you answered Yes above,please explain the circumstances:
Have you ever been involved in breeding dogs?
If you answered Yes above,please explain:
What are the specific names of the Dog (s) from our website that you are interested in ? (please list all). *
References:
Please provide three refeerences for your application to be considered:
Name: *
E-mail address:
Phone Number: *
Name: *
E-mail address:
Phone Number: *
Name: *
E-mail address:
Phone Number: *
Additional Comments
Please tell us what days and times work best to schedule a home check: *
 

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Copyright 2001-2006 New Hope Cattle Dogs Rescue & Rehoming, Inc.
Maintained by and Chris Spanos.
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